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Serving Over 20,000 US Medical Transcriptionists

if you discussed (in ANY way) business, yes.

Posted By: anon on 2008-03-18
In Reply to: independent contractor lunches - MT

have a receipt with date.

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105,000, discussed before.
This has already been discussed.....
on various threads.  Do a quick search or e-mail admin.
this was just discussed on the
company board. Go to it and scroll down to about 6/19 with comment from Oh, yes, it a full moon for sure. I thought there was another one, too, but I did not see it. Good luck to you.
this is discussed below.
Unfortunately it is legal..so yes it is business and they will continue with bad business practices
I didn't know it had been discussed either - sm
I don't visit here often.

I have two kids at home (12 and 13) and I roll in the morning and then start to slide at the half way point myself.

I start at 7:30 and take a break about 11:30 or so for lunch, then work some more.

If I am really dragging... I start day dreaming a bit. Okay, a lot. Means i have to go back and read everything more thoroughly but the typing part gets done a heckova lot faster.
Try a search as this has been discussed here before..
This has been discussed extensively. There is
This is the big problem here and what we discussed
Never had famine, still donít.I had 2 children and worked out of the home. How can you let yourself go downhill and just say I sit here trying to make it. That is why this profession has gone down because of no one wanting to leave the house to have a job, just want to sit at home because they have a child. What happens when no money at all, do you still just sit there trying to make it. I had more get up and go, I guess, than what I am reading on here now days. I always wanted to have things like a roof over my head, food for the family, nice vacations and I worked for it. No wonder the companies are offering less and less money to do this job because they have found people willing to wait on things. Before long the workers are going to have to pay the employers to have a job.
TOOOO MUCH!! Which is why it was discussed BEFORE we had kids! LOL
He is adament that the kids will have balance, structure and guides (apparnetly as long as his mother does not object)...fine by me as I was raised that way...however, trying to get a kid to face facts when they were told it was not their fault and they they should be in trouble.....well gee...that is not a recurring line I want used in the house and have yet to get him to admit he was wrong since she told him he was not!  Hence, huge morality issue he needs to learn for his life.   Talking to him all you get is "they say"  instead of I did, I was wrong, etc....she has it in his head he is right, they are wrong!!!!  Our actions are our doing whether good, bad or indifferent.   
It sounds like you and BF have discussed a split up.

At least that's what I think I read below in one of the posts.

The economy of our country is in the toilet right now.  Very few things are secure.  Times are tough and fixing to get tougher.  If there is any way you can slow down, get your bearings, get into a halfway secure position --- your mental health will be better.

You need your mental health in order to be there for your kids.

Have you considered moving the "molehill" instead of the "mountain"?

If the BF has already been approached about the split, what is his position on HIM MOVING out and not you and the kids?  That would be lots less destructive for them.

Also, I wouldn't count on any PT transcription job anywhere right now.  Trust me on this.  This job type is so fluid right now - it's a circus.

I wouldn't move from square one until I got the FT at the hospital.  DON'T MOVE UNTIL YOU FIGURE OUT IF YOU CAN GET THAT JOB.  Then get into it, see what you have to work with.

Secondly, I would not leave myself dependent on the BF for anything but money, and then the courts can get it for you if he decides he doesn't like this, gets a new honey, or gets a "wild hair" and decides to leave the country.

Don't depend on him for babysitting, don't "be nice" and try to share the babysitting.  DON'T DO IT.  Get yourself positioned so you are calling all your shots. 

I know MT looks good on paper when they are selling you an idea of working from home and STAYING WITH YOUR KIDS, but it doesn't work.  The mom ends up the zombie and life becomes like the twilight zone.  I know.  I tried it.  You need to get at the hospital, get daycare, get your childsupport coming in, .........and then think about moving or even buying.  In fact, if you wait, the housing prices are expected to fall even more.  There was an article in our paper about it again yesterday.  Hold off.  If you rent, if the plumbing goes, if the A/C or heater goes......the landlord is responsible.

I don't know if this will give you some things to consider but I hope so.  I raised my kids by myself (of course it was different times but the men were the same, ugh!) and at some times I didn't seem them for having to work so many hours.  I wish now I had just gotten me a State worker job, 8-5, insurance, retirement, gotten a little house even if I had gotten on a program where it was federally assisted, and gone that route.  We could have been together as a family, I wouldn't be doing this horrible life I have now with trying to still work at 60 years old with no place to live.

Think about the future - it's right around the corner.  The kids will be gone and trust me, they won't look back even if they love you lots.  They will be BUSY and you will be an afterthought.  All things in moderation.

First thing - DON'T MOVE, let him move. 

Second thing - WAIT FOR THE FT JOB.

Third thing - Be getting that child support coming in.

I wish you the best. 

p.s. Even if you decide you just have to move and rent even a 2-BEDROOM...it can certainly be done.  My ggg grandparents raised 13 kids in a 2 bedroom old farm house.  Kids slept all over the place!    You and the older kid could share if it's a girl/or if a boy, let him share a bedroom with one of the little ones, and you put the other little one in your room and make a game of it - they will all pitch in and later you all will have "war stories" to talk about when everbody is grown up. 

Look on the company board, they are discussed
almost daily. 
language was being discussed - not just plead

look down 2 lines and you will see this subject discussed. nm
Discussed this with my boss yesterday
She said she had employees who are missionaries and as long as they maintain a legal residence in the US for tax purposes, she has no problem with it.
This is also discussed on the company board

I know this has been discussed before but how long does it take to relisten to reports that you have
typed. I know some people do that and some dont. So far I have done okay on QA but if I dont I was just wondering how much extra time per day you figure you need to relisten to reports. I usually do about 30 to 35 medium length reports acute care or 1800 to 2000 lines. What errors do you find mostly when you relisten or is it not worth the extra time it takes. Just curious.
And we've discussed this before on this board. Life is not that
simple for me. If I leave the state, I leave my elderly parents that I care for and I leave my minor children because they legally cannot cross state lines without their father's permission. He's not going to OK that. Besides, I'm happy doing MT. Who ever said I was not happy doing MT? It works great with all the family I have to care for. I just wish I hadn't wasted time and money going to college, especially when the job market in my state got oversaturated with other college grads.
Unlimited long distance...I know this has been discussed before...but..sm
just received letter from AT&T informing me that I cannot use their unlimited plan for what I am using it for, and if I continue to do so, they will charge me a per minute rate and/or remove the service.  I need to know where to go for an unlimited long distance package for transcription.  Please post and let me know what you all use.  Without unlimited, what the heck are we supposed to do? What does everyone else do?  Any help and info would be appreciated.  Thank you
Do a search for 'happy with your job' or something like that. This was discussed a few pages b
Anything related to AAMT is not discussed on this site.
Think this has been discussed before, but the sound quality will probably suffer if you do it. nm
Did you search? We discussed the Saitek Eclipse a few
I made my business your business by posting and...
I totally respect everyone's opinions. It is easier for others on the outside looking in. That's why I pushed the "post reply" button yesterday. I trust my fellow MTs and I know the more I read from you all, the more confident I am becoming. I just need that final push, not from him though. I also wanted to let you all know that the physical abuse while I was pregnant was documented by my doctor and the hospital. I only wish I had known then that it is a felony to abuse a pregnant woman. I also photographed my face from a couple of weeks ago and told several people in my circle. I had such high hopes for us. Now...not so much. I'm not saying that I won't try to get him to church, but I realize that God can only do so much for someone who isn't listening. j
Business is business. Internet forums are
This is strange. I just discussed a flexible on-call person
for radiology with the owner of Keystrokes, where I have worked for 4 years. We were discussing the feasibility of having someone trained on a few accounts, ready to do "x" number of reports a day without a fixed schedule, floating on a few different accounts.

If anyone is interested, please email the office. You can do so through the ads on the job seekers board.
This also involves AHDI, so I think it should be discussed here on the Main Board, not just MQ's
Not biting ... it's been discussed in heated detail on about pg 3 of this board. haha
Been discussed in the past that Word's line counter is lower than normal. Anyone else? nm
This was discussed recently. Would be chars. + spaces, but no indents, bold, italics, etc. nm
For a business ad?! A business that deals
''Transcriptsis'' x2

''with good track record''

''serve our clients of all sizes'' (I know what they mean, but I just think the wording is funny)

''strive to achieve highest possible quality'' (once again, they never met an 'article' that they didn't hate)

''all departments including H&P...'' (or a comma, for that matter)

Is that really any of your business?
I would think that it would be very wrong of you to spread the information you found on Google while searching for the patient's name. Are you 100% certain that it is the exact same person you are transcribing? Even seemingly oddball names can be duplicated and how would you look spreading around gossip? Even if it is court-documented, it really is not your story to tell, IMO. I would love to know who is telling you to put it on the news. That is about the craziest thing I've heard in a while, although quite good for a laugh.
MT business
It depends on how large a business you want.  There are still some small accounts, (10,000 to 18,000 lines) per month that are still on tape that you can get.  Also the digital is not that hard but I will not pay for anyone to transfer my files, I can do that.   I do not have a phone in system but if someone were to ask I would probably start out with the ones that charge so much per minute and use their system until I knew for sure the account was staying.   Where are you located, have you networked with anyone in the area?  Are you set up for tapes as well as digital?  If you start out alone, you have no back-up, you have to do everything.  When you hire I/C's sometimes they are dependable and sometimes not.   You will not earn much off of them if you want to keep your accounts.   You will not be able to charge as high as the larger companies nor go after the larger accounts at first.   It is a fine line as to having enough help and enough work and that is why you hear the complaints all the time, "We have run out of work" as you have no control over how much or when a doctor dictates or if he takes time off.  But would I give it up, probably not as the money is good to me.   You can E-mail me with any specific questions, I have been doing my own small MTSO for over 20 years.   Been through it all, ups, downs, good times, bad times, and everyting in between.   My accounts have been with me from 6 years to 20 years so I feel that they are pretty stable. 
Well I am sorry that you are using this business as sm
your excuse, but hospitals pay their people for holidays and if by chance you have to work them, they pay you time and a half.

I do not know why a business owner cannot take these things into consideration when setting up a business. This is a business just like any other business and if you have employees, those employees need to be given the same consideration as any other business. IC status is different, but I find using the nature of this business as an excuse just a little weak.

A good business head would enable you to provide benefits for your employees and if you have already made up your mind it does not, then I think probably it is because maybe you need someone else to do that figuring for you.

I am not being mean in saying these things, but even small business owners I know are able to work it out that a holiday is a holiday (whether you have to work it or not) and an employee needs to be compensated in some manner. To me, there is no excuse for not doing so.
new business
My opinion would be to let them either work at home or at the company.  I prefer to work at home, but some people may not.  As far the pay issue--when I started doing transcription I made .06 cpl and I think that is a fair rate.  Hope I helped
This is really none of my business, and I know that,
but the more I read of your story, the more absurd it becomes to even think of staying with this man.  I'm truly sorry.  I know how hard it is to leave, as I had to that in my former life, and believe me I wanted my marriage to last "til death do us part," but that ain't always possible.  I too TRUST in the Lord with ALL of MY HEART and SOUL, and as I said, sometimes it just ain't possible.  The Lord will guide you through this.  Guess it is just that as an outsider it is easier to see the forest for the trees.
Been there on business
I used to work retail management and my company had a resort there. I have been there several times to meetings and we always had some time to do things. I always enjoyed it and would like to go some day just for pleasure. There is lots to do there.
New business
I have a small transcription company that kind of fell into my lap, luckily.  It has been a year now, we have five girls and are doing a really good job with one large account.  I had tons of experience as a transcriptionist, but never as a business manager, so I took my time.  Now I am looking to get more work.  Anybody have any thoughts as to how to reel them in?
I have been in this business for
always been cherrpickers and probably always will be, just like bad drivers,  you can't get away from it.  I have given up and just do what comes up.  Saying anything doesn't seem to help.
I would say the same - none of your business
None of their business......sm
I am an IC for 3 companies, and pick up another prn. They just want the work done as agreed up front...none of their business how many or who else you work for.
own business

Is there anyone out there kind of enough to point me in the right direction of starting my own MT business.  I have been doing a lot of research but found some outdated books online.  I need to know how to write up the contract. Can I do this myself or do I need it done legally?  the choice of software and line counting software.  It would mean so much to me.  I know a lot of you have done everything on your own, but don't I need to have a good starting point?  If someone could e-mail me with some or little info, it would be greatly appreciated.   Thank you again.

As if anyone's business
I was on my way out the door for an appt and no, not for an interview with someone else and prior to that was working. It came about because we are not getting paid for specials on an acct that included interventionals but yet are in the pool and wanted to know what constituted a special or interventional for you all. Plain and simple to answer.  With coding changes through the years things have changed. Obviously gave some pea-sized brains something to "not" think about. It is funny how so many can read something into nothing.  Nice bunch that answered though.  Trying to stir up a pot.  Not any more.  So for all of you other there that thought otherwise, oh well.  You all look like fools.  Tee-Hee.
as an IC you are a business
Rates are lower now than before, but as a company for yourself you need to make adjustments. If you treat this status as a job you will never be satisfied.

I hear a lot of people talking about how much they make - I would love to know where they work for that - they have to be employees. The nationals and smaller companies are not paying it most times to IC, and private clients for the most part aren't putting out 14.00 an hour to start.

This is my business, and like any business I do what I have to - work long hours, have other US MT's to back me up and take a lap top with me when I am on vacation.

Not like the manager of my grocery store goes on vacation and the store closes, or my doctor and no on-call. I am a professional business woman and work as such. I want more money and give them the quality so I get it. But I never run out of work either. Does not matter how much you make if there is no work.

Can't get more when they do not want to pay - you negotiate like any other business and if you want to work, you will.

If you want to be an employee - then you can demand the benefits, pay etc, and they can decide someone else can do the work - lets just hope that person is an American.

Either way - good luck to all - it is a challange
We have business name and tax ID #
and same companies do have a problem especially since HIPAA.... some have wanted me to become a SE and others have refused to pay me under company name - claiming I need to sign the confidentiality paperwork under my name and if I use my name and then a dba - it opens me up to being able to subcontract out my work....it has gotten much more complicated since HIPAA.  In the eyes of the IRS you should have a dba and advertise and work for more than one MTSO and be independent - both for your sake and your MT company... not sure it is necessary to incorporate but that is your decision.

I empathize with all of you.  The MT industry is definitely going downhill.  What makes me especially angry is that it seems that the hospital HIM departments are responsible for a lot of what goes on, especially the misunderstandings between doctors and MTs.  During my very short time of working at a hospital, I noted that the department manager was too chicken to actually communicate with the doctors.  All she did was speak softly and flatter them whenever they would call to complain, and she would go in to that familiar rhetoric about being so sorry and having a talk with the offender, etc., etc.  It made me sick to listen to it. 

In a few short years, I will attain the label of geriatric.  I guess I lived my life backwards.  I was an RN first.  I really wanted to be a psychiatric nurse, but was stuck in Med Surg.  Just couldn't find the right opportunity, though I did get to work on one temporary assignment at the jail with the alcoholics and drug addicts.  Then, I did word processing.  Twenty years ago, I was commuting via subway and bus 2 hours in the morning and 2 hours in the evening, earning about $10 per hour as a word processor.  I made more money then than I do now, but I also had expenses for transportation and wardrobe, and I was not paid for those 4 hours a day of commuting.

I've been an MT for almost 2 years.  I went into it blindly.  AS has been my pattern in life, I always believe the good reports and think that a situation is going to be wonderful; I am often disappointed.  I've been waiting for my supposedly dream job, for a company that, one year ago when I took their tests and scored 97, required 2 years of experience.  Now that I have 2 years of experience, I see that they are requiring 3 years of experience. 

I live in a rural area.  The local jobs are mostly all just a bit over minimum wage.  So, I am thankful that I can work at something at home.  I just could not afford to earn minimum wage, while still needing to provide gas and wardrobe, not to mention the commuting time. 

I did work as an MT at a local hospital; not so local, as it is 60 miles round trip.  Talk about office politics, it was awful.  The manager had no clue what medical transcription was all about.  She was not a very good leader, and her top priority was to make herself look good.  The health insurance benefits were wonderful.  But, I couldn't stand working there.  Working at home is so much better in my case, in my opinion, at this time.

I feel lucky that I bought a home a few years ago and now my mortgage is a little less than the rent for a local one bedroom apartment.  I realize that, if I have to work another 10 years or more, I should change professions, too.  I figure that I could become a psychiatrist if I wanted to go through medical school.  I guess I might try for a PHD in psychology and become a therapist or something.  Unfortunately, I am now spoiled and don't want to commute to work.  I know of no way to be a psychologist from home unless I move to a home that is set up for seeing patients; this one will not work for that.  

I think that I am going to become a professional nutritional consultant.  That way, I can be a nurse and a psychologist all at the same time, without having to stick needles into anyone.  Blood tests have their place, but I am not one that ever was good at drawing blood or starting IVs.  I might have to consult with someone's MD, but not all of them are bad.  They can often be trained to treat you with respect.  I never allowed a doctor to talk down to me when I was a practicing nurse, and I certainly will not allow it now.  It makes me seeth when a doctor spells easy words for me.  This morning, a doctor spelled FLATUS, as if he thought I wouldn't be able to figure that one out!! 

Also, one of my pet peeves is that people take way too many prescription drugs for chronic diseases that could be corrected nutritionally.  So, this is probably going to me my next profession.

I've often wondered how a person gets a audience in front of the US Congress?  Do you submit a request or do you have to be invited?  I think I know how to send out press releases, and I bet we could find the email addresses of major newspapers and start submitting.  Remember that big report that one of the major morning shows had about how great it is to work at home as an MT?  Well, I wonder if they would like to hear the rest of the story?  Actually, I realize that many of their feature stories are promoted by the advertisers.  So, unless some big group backs us up, it is not likely we will get that type of coverage.  I guess we will have to contact some news journalist who covers stories regarding the underdogs of the world.  Did anyone contact Oprah yet?  I think this is not just an MT issue, but a woman's issue, since most of us are women, and as such, seem to have less respect in this country.  

I usually edit my postings, but decided to just let this one go through as written.  Recently, I read a story about life decisions and the theme was that, whenver we make decisions, we must be aware of how our decisions will affect the next 7 generations.  I really wish that the last 7 generations would have considered that.  And, as MTs and as mostly women, we must stand up for our rights to be treated with respect.  Consider the impact on the next 7 generations.  

Thank you for reading my message.      


From a business POV...

Employees are most costly in terms of benefits, taxes and equipment. As IC is personally responsible for all of the above but not at your beck and call, either. Personally, as an IC, I prefer it that way, but I have the luxury of a hubby whose company can provide medical/dental benefits. You may find that when you notify your employees that they are now ICs some will find other work because they need the benefits (if offered).

Hope this helps in your decision-making process.

Most likely. Or else gotten out of the MT business
I am looking to get out of this business for the
can't afford to take a day off because of "no work, no pay", and I don't exactly have a shift that allows me to have time with my husband. Our son is grown and I want my evenings with my hubby, is that so wrong? Anyway, I can make more money doing data entry and the position is close enough to home that I can walk to work and get exercise.
Your business sm
It's your business and you are the owner. Your OP was not as clear as it appears to be now. So they are asking a little more of you. If you are happy with them and with the pay, and also with driving, etc., then accommodate them. Just beware that the wife sounds like she is trying to save money and money is the bottom line here. Never expect because you bowl with these people that it's going to make a difference either way. You are right never to discuss business with ANY of them. Just be professional about it all. I know some hate tapes and they hate deliveries but if you are okay with that, and you're happy with the money, then you have answered your own question. As far as the travel, with the price of gas, I would certainly cut down to twice a week, but is is after all, YOUR business. Good luck with it. Sounds to me like these changes were made without consulting you. If they really cared about you personally, they would have asked you to come into the office and sit down and discuss how change could benefit all of you. Everybody wants change but nothing beats discussing it with you in person. Good luck with it, only you can decide what to do - it is something you have to live with. If you ask others' advice, you are going to get different opinions, of course, but it's your livelihood and your decision to live with in today's economy. If you're happy with the client otherwise, then read the boards about those who sit and wait for work, etc. None of it, and I mean none, is easy. In the end, it's all up to you. Hope you make the right decision. I loved getting out of the office, I didn't mind doing extra steps, and I wrote everything off with the help of my accountant, miles, paper, phone calls, etc., it's all legally deductible. Going digital will also be deductible, whether it's just for your office or yours and theirs. Hope you find your answer. I am a dinosaur so I love tapes and in 30 years only had one break and the client paid to have it spliced and nothing was lost. I didn't worry about losing information over the Internet. Also, when you are traveling with records, be sure they are locked up and secure, it's the law now. Hope it all worksto your benefit, no matter what you decide!
Whose business is it if you get a 2nd job?...sm
Especially if they're not giving you all the work you need. We all know how selfish these companies are. Are they going to support you and your family? Same with employee status: You sign to the effect they can terminate you any time, without reason (THEIR reason)...avoids them being sued for "wrongful discharge".